Delays or inaccuracies at the “front door” of care, including insurance verification, can have widespread bottlenecks that negatively impact patient treatment and provider revenue
Sohar Health, an AI-driven eligibility determination and Verification of Benefits (VoB) provider, announced the launch of Discovery, an innovative patient intake solution that redefines how healthcare providers verify insurance. Using just four data points — first name, last name, date of birth, and state — Discovery quickly and accurately determines if a patient has health insurance, and if so, what insurance plan they have. This automation significantly reduces verification delays, improves patient access to care, and enhances revenue cycle efficiency for providers across specialties, including primary care, specialty care, urgent care, behavioral health, and telehealth.
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It’s estimated that of the $3.6 trillion the U.S. spends on healthcare every year, $228-280 billion come from wasteful administrative costs. Part of that waste stems from verifying a patient’s insurance. This process is often manual, slow, and may require providers to call multiple insurers to confirm coverage.
On the patient side, 58% of U.S. adults who are insured say they have experienced issues like provider network problems during the past year. Half of that group was unable to solve those insurance issues, resulting in skipped care and health declines. Even an administrative action as seemingly simple as verifying insurance is rife with challenges, leading to delays that frustrate patients and lead to high abandonment rates.
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To reduce administrative burdens and give patients the ability to check their eligibility in real time, Discovery automates the patient intake process for healthcare providers. It allows patients to check their coverage in just 8 seconds — whether they have their insurance information on hand or not — whereas the manual alternative can take hours or even days, requiring staff to call insurers, navigate payer portals, or wait for faxed responses. This enables healthcare organizations to create a consumer-friendly digital “front door” to their care, improving patient conversion rates by up to 12%. Discovery boasts a success rate of up to 60% compared to the industry benchmark of 20%, with even higher accuracy for major commercial payors like Cigna, Aetna, and UnitedHealthcare.
“In a world where people no longer carry physical credit cards, let alone their health insurance card, Sohar removes the friction from accessing care. Just as fintech has transformed payments, we are transforming patient intake with real-time insurance verification,” said Ashish Mandavia, M.D., co-founder and CEO of Sohar Health. “As digital-first healthcare becomes the norm, patients expect a seamless, retail-like experience when booking appointments. With Discovery, we empower providers with instant, accurate, and automated eligibility checks, ultimately enhancing patient trust and streamlining care pathways.”
The launch of Discovery underscores Sohar Health’s commitment to removing inefficiencies in healthcare, improving the patient experience while increasing patient volume for providers. As the industry continues to shift toward a more digitally accessible and patient-centric model, solutions like Discovery drive healthcare forward.
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Source – PR Newswire
